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During initial Phase I and Phase II studies, the incidence of nausea and vomiting of a new cancer chemotherapeutic agent was 35% for 190 patients,

During initial Phase I and Phase II studies, the incidence of nausea and vomiting of a new cancer chemotherapeutic agent was 35% for 190 patients, while 75 controls receiving conventional therapy experienced nausea and vomiting at a rate of 55%.Are the rates significantly different?

What type of hypothesis test would you use in this case?

Would you use a left, right or two tail test?

How many of the conventional group experience nausea?

How many of the chemotherapeutic group experience nausea?

If the p value is 0.005, would you conclude that the rates are significantly different?

What is the 95% CI estimate for the difference in nausea rates between the new chemotherapeutic group and the conventional treatment group?Do the results indicate that there is a significant difference between the nausea rates for the two groups? (mark the answer with the correct CI and conclusion)

  • 95% CI: (0.057, 0.320); no significant difference since 0 is not contained in the CI
  • 95% CI: (-0.057, -0.320); significant difference since 0 is not contained in the CI
  • 95% CI: (0.057, 0.320); significant difference since 0 is not contained in the CI
  • 95% CI: (-0.057, -0.320); no significant difference since 0 is not contained in the CI
  • none of the above

During clinical trials with a specific agent, it was found that the incidence of blooddyscrasiawas 2.5%.In a later Phase IV study involving 28 patients, two developed blooddyscrasia.Would you conclude that the proportion that developed blooddyscrasiain the Phase IV study is significantly different that thepre-approval rate of 2.5%?

  • Yes, since 7.1% > 2.5%
  • Yes, if the p-value for a one-proportion z-test is 0.012, which is greater than the significance level of 0.05
  • No, if the p-value for a one-proportion z-test is 0.012, which is greater than the significance level of 0.05
  • none of the above

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